NPIMap

Organization Active NPI

Dr Leo Edelsberg and Associates

  • Optometrist
  • Aventura, FL
National Provider Identifier
1477849040
Registry record updated Jun 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1830 Issued in FL
Legal business name
DR LEO EDELSBERG AND ASSOCIATES
Practice address
19575 Biscayne Blvd
# 579
Aventura, FL 33180-2325
Phone
(305) 932-7373
NPI assigned
Jun 22, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Leo Edelsberg, ODNPI 1851302020
Title
Owner
Phone
(305) 932-7373

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 1830 FL Primary

Addresses

Primary practice location

19575 Biscayne Blvd
# 579
Aventura, FL 33180-2325

Mailing address

19575 Biscayne Blvd
# 579
Aventura, FL 33180-2325
Phone (305) 932-7373

National Provider Directory

National Provider Directory

Locations

19575 Biscayne Blvd
Ste 579
Miami, FL 33180
Phone (305) 932-7373

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1477849040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19575 BISCAYNE BLVD",
            "address_2": "# 579",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802325",
            "telephone_number": "305-932-7373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19575 BISCAYNE BLVD",
            "address_2": "# 579",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331802325",
            "telephone_number": "305-932-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR LEO EDELSBERG AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "EDELSBERG",
        "authorized_official_first_name": "LEO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-932-7373",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "1830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.